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Inspection Summary


Overall summary & rating

Good

Updated 12 July 2018

The inspection took place on 7 June and was announced. The inspection continued on 11 June 2018 and was again announced.

Greenways is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Greenways is registered to provide accommodation for persons who require nursing or personal care. It is registered for up to four people with learning disabilities or autistic spectrum disorder. At the time of our inspection there were three people living in the home.

The home was a two storey detached property which had an open plan kitchen dining area, large lounge, smaller snug, two bedrooms and a shared bathroom on the ground floor. On the first floor there were two further spacious en-suite bedrooms with a large landing area.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were protected from avoidable harm as staff understood how to recognise signs of abuse and the actions needed if abuse was suspected. There were enough staff to provide safe care and recruitment checks had ensured they were suitable to work with vulnerable adults. When people were at risk of seizures or behaviours which may challenge the service staff understood the actions needed to minimise avoidable harm. The service was responsive when things went wrong and reviewed practices in a timely manner. Medicines were administered and managed safely by trained staff.

People had been involved in assessments of their care needs and had their choices and wishes respected including access to healthcare when required. Their care was provided by staff who had received an induction and on-going training that enabled them to carry out their role effectively. People had their eating and drinking needs and preferences understood and met. Opportunities to work in partnership with other organisations took place to ensure positive outcomes for people using the service. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People and their families described the staff as caring, kind and friendly and the atmosphere of the home as relaxed and engaging. People were supported to express their views about their care using their preferred method of communication and were actively supported to have control of their day to day lives. People had their dignity, privacy and independence respected.

People had their care needs met by staff who were knowledgeable about how they were able to communicate their needs, their life histories and the people important to them. Equality Diversity and Human Rights (EDHR) were promoted and understood by staff. A complaints process was in place and people felt they would be listened to and actions taken if they raised concerns. No one living at the service was receiving end of life care at the tme of the inspection.

The service had an open and positive culture that encouraged involvement of people, their families, staff and other professional organisations. Leadership was visible and promoted good teamwork. Staff spoke positively about the management and had a clear understanding of their roles and responsibilities. Audits and quality assurance processes were effective in driving service improvements. The service understood their legal responsibilities for reporting and sharing information with other services.

Further information is in the detailed findings belo

Inspection areas

Safe

Good

Updated 12 July 2018

The service remains Good

Effective

Good

Updated 12 July 2018

The service remains Good

Caring

Good

Updated 12 July 2018

The service remains Good

Responsive

Good

Updated 12 July 2018

The service remains Good

Well-led

Good

Updated 12 July 2018

The service remains Good